MRS. KONGKEO THIKY WALTHER (ANP) – Acute Care Nurse Practitioner, NPI 1528433430
Acute Care Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for MRS. KONGKEO THIKY WALTHER (ANP)
4921 Parkview Pl
Div Surg Urology, Ste 11C
Saint Louis, MO 631101032
Phone: (314) 362-8200
Fax: (314) 454-5244
Type: Location
660 S EUCLID AVE
C B 8242
SAINT LOUIS, MO 631101010
Phone: (314) 362-8200
Fax: (314) 362-8240
Type: Mailing
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 631101003
Phone: (314) 362-8200
Fax: (314) 362-8240
Type: Location
PO BOX 776874
CHICAGO, IL 606776874
Phone: (314) 291-7997
Fax: (314) 739-1471
Type: Mailing
12774 BOENKER LN
BRIDGETON, MO 630442436
Phone: (314) 291-7997
Fax: (314) 739-1471
Type: Location
4921 PARKVIEW PL # 11C
SAINT LOUIS, MO 631101032
Phone: (314) 362-8200
Fax: (314) 362-8240
Type: Mailing
4921 PARKVIEW PL
DIV SURG UROLOGY, STE 11C
SAINT LOUIS, MO 631101032
Phone: (314) 362-8200
Fax: (314) 454-5244
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-04-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160418001742 | I | Nurse Practitioner | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 784 | 288 | $0 |
Insurance plans in this area (ZIP 63110)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease, Internal Medicine | IL | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Infectious Disease, Internal Medicine | MO | |
| Internal Medicine | IL | |
| - | MO | |
| Infectious Disease, Internal Medicine | MO | |
| - | MO |
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